NP / PA
Heaton, Andrea
Heaton, Andrea was paid $476K by Medicaid between Jan 2018 and Dec 2020, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoHEATON, ANDREA
GREENEVILLE, TN 37743
GREENEVILLE, TN 37743
33aNPI1891962486assigned 05/13/2008
33bProvider typePediatric Nurse Practitioner
28Total paid$476K
24GClaims20,416
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Tennessee
Rank by total paid#10 of 70
Median peer was paid$60K
This provider vs. median7.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,320 | $162K | |
| 2019 | 8,417 | $199K | |
| 2020 | 4,679 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 33% | 2,792 | 2,411 | $159K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 4,019 | 3,583 | $154K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.6% | 1,107 | 868 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 444 | 364 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.9% | 2,231 | 2,079 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 323 | 241 | $22K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.3% | 1,722 | 841 | $21K |
| 92551 | 1.6% | 1,227 | 954 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 564 | 451 | $7K |
| 96127 | 1.4% | 1,635 | 1,330 | $7K | |
| 99173 | <1% | 1,265 | 987 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 59 | 49 | $4K |
11 more codes
| 99401 | <1% | 169 | $2K | |
| 90651 | <1% | 254 | $2K | |
| 85018 | <1% | 905 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 120 | $1K |
| 36416 | <1% | 909 | $988.72 | |
| 81003 | <1% | 114 | $208.90 | |
| 90686 | <1% | 380 | $66.77 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $25.48 |
| 90461 | <1% | 67 | $20.00 | |
| 99000 | 0% | 41 | $0.00 | |
| 90734 | 0% | 57 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.